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Mrs. Mary Johnson Lanctot, ARNP
Pediatric Nurse Practitioner in St Petersburg, Florida
NPI 1346448339

Mary Johnson Lanctot is a Pediatric Nurse Practitioner based in St Petersburg, FL and is specialized in Pediatrics. Mary Johnson Lanctot practices in St Petersburg, FL and has the professional credentials of ARNP. The NPI Number for Mary Johnson Lanctot is 1346448339 and holds a License No. 9197354 (Florida).

The current practice location address for Mary Johnson Lanctot is 801 6Th St S, St Petersburg, FL and can be reached out via phone at 727-767-8281.

Location: 801 6Th St S, St Petersburg, FL, 33703-3226
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346448339
Provider Name
Mary Johnson Lanctot
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
801 6Th St S, St Petersburg, FL, 33703-3226
Phone Number
727-767-8281
Fax Number
Provider Enumeration Date
07/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
306768800 05 FL
institution
Provider Business Practice Location Address Details
Address
801 6Th St S
City
St Petersburg
State
Florida
Zip
33701-4816
Phone Number
727-767-8281
Fax Number
person
Provider Business Mailing Address Details
Address
801 6Th St S
City
St Petersburg
State
Florida
Zip
33701-4816
Phone Number
727-767-8281
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
9197354 (Florida)
Definition
Definition to come...
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